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Achieving Health Equity in Decentralized Healthcare: An Innovative Approach to Preventive Care in Southern Italy
Giovanna Liguori1, Rachele Maria Russo1, Viviana Balena1
1Local Health Authority, Foggia, Italy.
Journal of Preventive Medicine and Hygiene
|November 26, 2025
Summary
Italy
Area of Science:
- Public Health
- Healthcare Management
- Environmental Health
Background:
- Ministerial Decree 77 (2022) aims to standardize nationwide preventive healthcare in Italy.
- Regional disparities in healthcare access and outcomes persist across Italy.
- Innovative regional models are needed to address healthcare challenges.
Purpose of the Study:
- To evaluate the impact of Italy's Ministerial Decree 77 on preventive healthcare.
- To compare healthcare management systems in Northern and Southern Italy.
- To analyze the Apulia Region's model for integrating environmental health into preventive strategies.
Main Methods:
- Comparative analysis of regional healthcare management systems.
- Examination of the Apulia Region's regulatory framework (Regulation 13/2023).
- Assessment of environmental determinants, including air quality and climate-related risks.
Main Results:
- The Apulia model demonstrated significant health improvements.
- A 25% reduction in waterborne diseases and a 12% decrease in heatwave hospitalizations were observed.
- Multidisciplinary collaboration and community engagement boosted policy effectiveness.
Conclusions:
- Balancing national guidelines with regional autonomy is crucial for health equity.
- Integrating environmental health factors is vital for resilient healthcare.
- The Apulia model offers a replicable framework for improving health outcomes nationwide.
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